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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005393
Report Date: 01/09/2020
Date Signed: 01/09/2020 06:06:57 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MISSION VALLEY YMCA-HOLMES ELEMENTARY SCHOOLFACILITY NUMBER:
372005393
ADMINISTRATOR:MEGAN HOLTANFACILITY TYPE:
840
ADDRESS:4902 MOUNT ARARAT DRIVETELEPHONE:
(619) 300-0596
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:100CENSUS: 66DATE:
01/09/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Site Supervisor Megan HoltanTIME COMPLETED:
06:10 PM
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LPA, Luigi Gargaro, conducted an unannounced inspection visit to the facility today for an increase in capacity and room addition that was requested by the facility for its before and after school programs. Analyst met with supervisor Megan Holtan and toured the classrooms and other child care areas with the analyst.

The facility, which is currently conducting their program in classroom #18, the auditorium, and the library/media room area submitted an application to increase the capacity to 125 and add classroom #1 to the program. During today's visit, analyst found eleven children being supervised in classroom #18 by teacher Miguel Morales, thirty children being supervised in the auditorium by teachers Andrea Morales, Karis Bailey and Adhara Rios, and twenty-five children under the supervision of teachers Zulema Tirado and Isabella Zazueta in the outdoor cafeteria tables that are included as part of the facility's outdoor space areas. All children were seen to be doing play or schoolwork activities during analyst's visit.

Analyst inspected both classrooms during today's visit. Both rooms had appropriate, furniture, equipment and materials for school age children. All equipment was found to be in good condition. Disinfectants, cleaning solutions, and other items that are dangerous to children, are inaccessible via placement in high or locked storage cabinets. Analyst also inspected the other for use areas of the auditorium and the library/media room area as well as the outdoor cafeteria table area. All areas appeared safe and did not have any hazard concerns. Analyst reviewed staff files during today's visit but was unable to review children's records.

The facility is clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees and visitors. Dedicated restrooms (two single bathrooms and a separate boys and girls bathroom) are located on the elementary school campus directly by the program and are for sole use for the after school program. Restrooms were sanitary and safe for use. Drinking water is available both indoors and out with the use of in classroom and outdoor fountains and portable water jugs and cups.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MISSION VALLEY YMCA-HOLMES ELEMENTARY SCHOOL
FACILITY NUMBER: 372005393
VISIT DATE: 01/09/2020
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Outdoor activity area consists of dedicated gated black top area that is located on facility campus immediately adjacent to the program classrooms. Outdoor activity yard is for sole use of the YMCA before and after school program and is not shared with any other school program. Fire clearance for the classrooms and other child care activity areas was approved by SDFD on 12/20/19

This facility provides Incidental Medical Services – IMS. Two children currently have injectible medications while one child has inhaled medication. Analyst reviewed the medication policy, documentation and expiration date for medication currently on hand for children in care and found all to be in order. Medication is kept in drawstring backpack that is kept inaccessible in classroom and brought with children whenever conducting any activities. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

The facility appeared to be in substantial compliance during today's visit so rooms #1, #18, the auditorium, library/media room area were approved today for a licensed capacity of 125. Analyst left a Notice Of Site Visit for site director to post in facility notice area for 30 days.

SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020
LIC809 (FAS) - (06/04)
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